EPILEPSY TREATMENT AND SEIZURE TREATMENT

EPILEPSY TREATMENT AND SEIZURE TREATMENT
EPILEPSY TREATMENT AND SEIZURE TREATMENT

EPILEPSY TREATMENT AND SEIZURE TREATMENT

EPILEPSY TREATMENT AND SEIZURE TREATMENT
EPILEPSY TREATMENT AND SEIZURE TREATMENT

Pharmacotherapy (drugs)

The Drug therapy you will apply for epilepsy treatment (seizure treatment) depends on/is specific to the type of seizure you are experiencing.

  • The most commonly drugs that your doctor may prescribe for you in generalized tonic-clonic and partial seizures are Phenytoin (dilantin), carbamazapine (tegretol), Phenobarbital and primidone (myesoline)
  • For absence seizures use the following drugs: valproic acid, clonazepam and ethosuxamide. Other drugs are benzodiazepines, diazepam, lamotrigine and valproate. They are basically anticonvulsants

Surgery

If you have tried drug therapy and it failed, epilepsy treatment may include surgical removal of a demonstrated focal lesion to stop the seizure you are experiencing. You will undergo surgery if epilepsy results from an underlying problem that you have such as intercranial tumour. Examples if the sugeries you may undergo includes:

  • Temporary lobectomy
  • Frontal lobectomy (removing part of the frontal lobe)
  • Hemispherectomy (removing half of the brain)
  • Corpus callostomy (splitting of the two hemisphere of the brain)

 

"epilepsy treatment (seizure treatment)"

Nursing Management

Below are the managerial treatment you will receive from medical professionals

In Acute Setting

The following measures would be observed or given to you (as a patient of seizure disorder)

  • The patient would be given "Before-and-during seizure care"
  • If you are standing or seating, you would be eased to the floor to prevent you from sustaining injury.
  • Provision of privacy if possible.
  • Patient's eyeglasses will be removed (if any) and loosening of restrictive clothing
  • Nothing would be forced into your mouth (i.e. into the patient's mouth)
  • The Nurse or medical personnel will not restrain you but your movement would be guided to prevent injuries.
  • The medical personnels would give you attention throughout the seizure to ensure safety
  • The period of the seizure would be timed.
  • Events would be verbalised as they happen in order to ensure more accurate recall later.
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"epilepsy treatment (seizure treatment)"

Post Seizure Care

These are post medical care to be give to you (as a patient of seizure disorder) after seizure:

  • The Nurse/Medical personnel will position in such a way that you will lay with your side in order to facilitate drainage of secretions
  • You will be provided with adequate ventilation by maintaining a patent air way.
  • Suction would be administered if necessary to prevent aspiration
  • You would sleep and afterwards be given orientation on awakening to what has occurred.

On Admission

This are precautionary measures you should take on admission to the hospital in seizure disorder

  • Eat well balanced diet routinely
  • Avoid excess sugar, caffeine or other trigger food
  • You should limit alcohol consumption
  • You should treat fever immediately
  • Avoid noisy environment
  • You should avoid bright flashing or fluorescent lights
  • Avoid recreation that could cause injury if a seizure occurs
  • Avoid contact sports
  • Also avoid emotional stress which is often a trigger
  • You should go for counseling on stress

"epilepsy treatment (seizure treatment)"

Status Epilepticus

This is an emergency condition. It is a continuous seizure state that is interrupted by taking emergency measures. It can occur during all types of seizures, for example generalized tonic-clonic status is a continuous seizure without an intervening return of consciousness.

The management for this kind of condition includes:

  • ABC's life support
  • Suction and oxygen availability
  • IV access secured
  • Treat hyperthermia
  • Monitoring of vital signs and neuro exam frequently

 

"epilepsy treatment (seizure treatment)"

Nursing Diagnoses in Seizure Disorder

  • Impaired cerebral tissue perfusion related to seizure activity
  • Risk for injury related to seizure activity
  • Ineffective airway clearance related to occlusion by the tongue and aspiration
  • Ineffective coping related to psychosocial consequences
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The following Complications may result when you don't properly manage epilepsy (seizure disorder):

  • Status Epilepticus
  • Injuries due to falls

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